Form NRC Form 798 NRC Form 798 Request for a Medical Exception to the COVID-19 Vaccine

NRC Form 798, “Request for a Medical Exception to the COVID-19 Vaccine Requirement"

NRC Form 798

NRC Form 798, Request for a Medical Exception to the COVID-19 Vaccination Requirement

OMB: 3150-0249

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3150-0249 can be found here:

2022-03-28 - Extension without change of a currently approved collection

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File Type	application/pdf
File Modified	2021-10-25
File Created	2021-10-21